National Provider Identifier

Tarica Simone Haynes, LPN

Tarica Simone Haynes, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 353-3349.

NPI 1144644071Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1144644071
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 12, 2014
Last Updated
January 05, 2023

Practice Location

  • 1755 Stone RD Apt 3
  • Rochester, NY 14615-1653

Phone: (585) 353-3349

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1144644071
Entity Type
Individual
Last Name
Haynes
First Name
Tarica
Middle Name
Simone
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
1755 Stone RD Apt 3
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14615-1653
Mailing Country
US
Mailing Phone
(585) 353-3349
Practice Street Address
1755 Stone RD Apt 3
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615-1653
Practice Country
US
Practice Phone
(585) 353-3349
Enumeration Date
February 12, 2014
Last Updated
January 05, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
January 05, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)